Organization
PREMIER PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETINA ANN SLOAN (PRACTICE ADMINISTRATOR)
(910) 246-2229
Entity
Organization
Contact information
Practice address
135 TURNER ST, SOUTHERN PINES, NC 28387-7054
(910) 246-2229
(910) 246-2229
Mailing address
135 TURNER ST, SOUTHERN PINES, NC 28387-7054
(910) 246-2229
(910) 246-2229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
BR1929491
NC
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-013C9
—
NC
Enumeration date
04/04/2006
Last updated
08/23/2021
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